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腹腔镜与开腹阑尾切除术的临床疗效比较分析 被引量:22

A comparative analysis of the clinical effect of laparoscopic and open appendectomy
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摘要 目的对比分析腹腔镜与开腹阑尾切除术治疗急性阑尾炎的疗效。方法分析该院在2010年8月—2013年2月收治的160例急性阑尾炎患者的临床资料,他们分别采用腹腔镜阑尾切除术(腹腔镜组,n=80)或开腹阑尾切除术(开腹组,n=80)治疗。结果腹腔镜组的术中出血量、术后进食时间、疼痛持续时间、镇痛剂使用率、肛门排气时间、住院时间以及并发症率均显著优于开腹组(P<0.05),但是两组患者的手术时间差异无统计学差异(P>0.05)。结论与开腹阑尾切除术相比,腹腔镜阑尾切除术治疗急性阑尾炎具有安全、创伤小、恢复快、及并发症少等优势,可以作为治疗急性阑尾炎的首选方法。 Objective To compare and analyze the clinical effects of laparoscopic and open appendectomy for treatment of acute appendicitis. Methods We analyzed the clinical data of the laparoseopy appendectomy (laparoseopy group,n 80) and the open appendee- tolny (open surgery group,n 80) for treatment of 160 patients with acute appendicitis in our hospital fi-om August 2010 to February 2013, Results The peri-operative bleeding,the meal tilne after sugery,pain time,mlalgesic rate,anorectmn exhaust time,hospitaliza- tion stay,mid complication rate in the laparoscopy group were significmltly better than those in the open surgery group (P 〈 0.05). However,there was no significant difference in operation time between two groups (P 〉 0.05). Conclusions Compared with open appendectomy,the laparoscopic appendectomy for treatment of acute appendicitis has many advantages,including safety, lninilnal invasion, quick recovery, and less complications ,which can be used as preferred method to treat acute appendicitis.
作者 刘小平
出处 《安徽医药》 CAS 2014年第1期100-102,共3页 Anhui Medical and Pharmaceutical Journal
关键词 腹腔镜 开腹阑尾切除术 临床疗效 laparoscopy open appendectomy clinical effect
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